| NPI | 1871518530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T7406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043787) |
| 207R00000X Internal Medicine (Licence: TX T7406) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.204877) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.204877) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T7406) | |
| 208M00000X Hospitalist (Licence: CT 043787) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-03-15 |